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Family TIME: A Family-focused Nursing Intervention for Adults Receiving Haemodialysis and Their Families

31. august 2026 opdateret af: University of Southern Denmark

Family TIME: Protocol for a Randomised Mixed-methods Feasibility Study of a Family-focused Nursing Intervention for Adults Receiving Haemodialysis and Their Families

The goal of this clinical trial is to evaluate whether a structured family conversation intervention can be delivered in a feasible and acceptable way to adults living with chronic kidney disease (CKD) and their family members. The study will also explore whether the intervention and study procedures are suitable for a future larger clinical trial.

The main questions it aims to answer are:

Can adults with CKD and their family members be successfully recruited, enrolled, and retained throughout the study? Is the Family Time intervention acceptable and practical for patients, family members, and healthcare professionals? Are the study procedures and selected questionnaires appropriate for evaluating a future larger trial? Does the intervention show potential to support family functioning and well-being?

Researchers will compare the Family Time intervention plus usual care with usual care alone.

Participants will:

Complete questionnaires before and after the study period. Be allocated to either the Family Time intervention or usual care. If allocated to the intervention group, participate in three structured family conversations over approximately 8 weeks, with the option of one additional follow-up conversation.

If allocated to the intervention group, be invited to take part in an interview about their experiences after completing the intervention.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Adults living with chronic kidney disease (CKD) experience substantial physical, emotional, and social challenges that extend beyond the individual and influence everyday family life. Family members frequently take on important supportive roles while simultaneously experiencing changes in family routines, responsibilities, communication, and well-being. Although family involvement is recognised as an important component of person-centred CKD care, structured family-focused interventions remain limited, and evidence supporting their implementation in routine nephrology practice is scarce.

This study aims to evaluate the feasibility and acceptability of Family Time, a nurse-led family-focused intervention developed to support communication, shared understanding, and relational well-being among adults living with CKD and their families. The intervention has been developed following the Medical Research Council (MRC) framework for developing and evaluating complex interventions and informed by evidence synthesis, qualitative research, stakeholder workshops, and patient and family involvement.

A mixed-methods randomised feasibility trial will be conducted at two in-centre haemodialysis units in Denmark. Adults receiving in-centre haemodialysis and at least one participating family member will be allocated to either the Family Time intervention plus usual care or usual care alone. The intervention consists of three structured family conversations delivered over approximately 8 weeks, with the option of one additional follow-up conversation. Sessions are facilitated by the principal investigator and may be delivered face-to-face, online, or by telephone according to family preferences and practical circumstances.

The primary outcomes are feasibility and acceptability of the intervention and study procedures, including recruitment, retention, intervention delivery, questionnaire completion, and participant experiences. Secondary exploratory outcomes include family functioning, individual well-being, and family communication, assessed using the Iceland Expressive Family Functioning Questionnaire (ICE-EFFQ), the WHO-5 Well-Being Index, and post-intervention qualitative interviews.

The findings will inform refinement of both the intervention and study procedures and determine whether progression to a future definitive randomised controlled trial is warranted.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

60

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

  • Navn: Jeannett A Klitgaard, Master of Science in Nursing
  • Telefonnummer: +4540478192
  • E-mail: jekl@ucl.dk

Studiesteder

      • Odense, Danmark
        • Odense University Hospital
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Adult patient aged 18 years or older
  • Currently receiving in-centre haemodialysis for CKD
  • Has received in-centre haemodialysis for at least 3 months
  • Able to read, speak, and understand Danish
  • Able to provide written informed consent
  • Able to identify at least one family member willing to participate
  • Participating family member aged 18 years or older
  • Participating family member able to speak and understand Danish
  • Participating family member able to provide written informed consent

Exclusion Criteria:

  • Documented cognitive impairment preventing informed consent or participation
  • Clinically assessed as too physically or psychologically unwell to participate
  • Unable to participate in Danish
  • Currently receiving structured family therapy or another family-focused psychosocial intervention

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Ingen indgriben: Usual care
Participants allocated to the control group will receive usual care provided by the participating haemodialysis units throughout the study period.
Eksperimentel: Family Time + Usual Care
Participants allocated to the intervention group will receive the Family Time intervention in addition to usual care.
Participants allocated to the intervention group will receive the Family Time intervention in addition to usual care. The intervention consists of three structured family conversations delivered over approximately 8 weeks, with the option of one additional follow-up session. Conversations are facilitated by the principal investigator and may be delivered face-to-face, online, or by telephone according to family preferences and practical circumstances.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Recruitment rate
Tidsramme: From the first family conversation to completion of the intervention, up to 8 weeks.
Number and proportion of eligible family units recruited into the study.
From the first family conversation to completion of the intervention, up to 8 weeks.
Retention rate
Tidsramme: 8 weeks after baseline
Number and proportion of participants completing follow-up.
8 weeks after baseline
Intervention delivery
Tidsramme: From the first family conversation through completion of the intervention, up to 8 weeks.
Number and proportion of planned structured facilitated family conversations completed according to protocol.
From the first family conversation through completion of the intervention, up to 8 weeks.
Intervention acceptability
Tidsramme: 8 weeks after baseline
Acceptability assessed using the Danish version of the Acceptability of Intervention Measure (AIM).
8 weeks after baseline
Study procedures
Tidsramme: Baseline and Week 9
Questionnaire completion rate, follow-up completion and completeness of data collection procedures.
Baseline and Week 9
Implementation considerations
Tidsramme: Throughout the 8-week intervention period and at post-intervention interview in Week 9
Barriers and facilitators identified through intervention logs, facilitator field notes and qualitative interviews.
Throughout the 8-week intervention period and at post-intervention interview in Week 9

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Family functioning
Tidsramme: Baseline and 8 weeks after baseline.
Family functioning will be assessed using the Iceland Expressive Family Functioning Questionnaire (ICE-EFFQ), a 17-item questionnaire assessing expressive family functioning, including communication, emotional expression, collaboration and family relationships. Total scores range from 17 to 85, with higher scores indicating more positive expressive family functioning.
Baseline and 8 weeks after baseline.
Individual well-being
Tidsramme: Baseline and 8 weeks after baseline.
Subjective well-being will be assessed using the World Health Organization Five Well-Being Index (WHO-5). Raw scores range from 0 to 25 and are transformed to a scale from 0 to 100, with higher scores indicating greater subjective well-being.
Baseline and 8 weeks after baseline.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Studieleder: Hanne Agerskov, Professor, Odense University Hospital

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

10. august 2026

Primær færdiggørelse (Anslået)

31. marts 2027

Studieafslutning (Anslået)

31. maj 2027

Datoer for studieregistrering

Først indsendt

6. juli 2026

Først indsendt, der opfyldte QC-kriterier

31. august 2026

Først opslået (Faktiske)

3. september 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

3. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

31. august 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • Family TIME

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

De-identified individual participant data underlying the results reported in publications will be made available upon reasonable request, subject to approval by the study investigators, applicable ethical approvals, institutional policies, and Danish data protection regulations.

IPD-delingstidsramme

Beginning 3 months after publication of the primary results and continuing for 5 years.

IPD-delingsadgangskriterier

Data will be available to qualified researchers for scientifically sound research purposes following publication of the primary study results. Requests will be reviewed by the study investigators and the data controller.

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP
  • ICF

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